| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $834.02 | $1,919.00 | $3,469.00 | |
AllWays Health Partners
| Facility | $1,275.07 | $4,402.00 | $15,220.00 | |
AllWays Health Partners
| Facility | AS | $145.82 | $145.82 | $1,887.52 |
Fallon Health
| Facility | $575.35 | $1,248.26 | $6,679.00 | |
Mass General Brigham
| Facility | $2,155.00 | $5,268.00 | $16,394.00 | |
Mass General Brigham
| Facility | AS | $145.82 | $145.82 | $1,887.52 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |